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Septic bursitis requires even further evaluation and treatment.

Aseptic prepatellar bursitis can be treated with ice compresses, rest, and anti-inflammatory and pain medications.

Occasionally, it requires aspiration of the bursa fluid.

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At the tip of the knee, over the kneecap bone, is the prepatellar bursa.

This bursa can become inflamed (prepatellar bursitis) from direct trauma to the front of the knee.Bursitis of the knee can occur when the bursa fills with blood from injury and overuse, such as from athletic competition.Bursitis can also occur from rheumatoid arthritis and from deposits of crystals, as seen in patients with gouty arthritis and pseudogout.The prepatellar bursa can also become infected with bacteria (septic bursitis). This type of infection usually occurs from breaks in the overlying skin or puncture wounds.The bacterium involved in septic bursitis of the knee is usually Staphylococcus, which is normally present on the skin.A bursa is a closed, fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.

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